The intervention being studied is a 12-week nutrition and physical activity intervention, delivered using videoconference technology by registered dietitian clinicians to maintain weight loss and functional gains in older adults who successfully completed a weight loss intervention. The "Legacy Intervention" will include cognitive behavioral strategies (e.g., goal setting, self-monitoring, and social support), and draw upon a toolbox of e-approaches, including daily and weekly text reminders, virtual exercise classes, virtual individual and group nutrition classes, and step tracking device.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
14
The Legacy intervention is a nutrition and exercise protocol delivered using video conference technology. The Legacy protocol incorporates behavioral strategies along with nutrition and exercise to maintain and extend functional benefits of obesity treatment.
Duke University, School of Medicine
Durham, North Carolina, United States
Proportion Retention
Proportion retention will be computed by dividing the number of retained subjects at the end of the intervention by the total number of participants
Time frame: 12 week endpoint
Acceptability as Measured by Participant Satisfaction
Participants will asked to rate their satisfaction by answering the question "Overall, I'm glad I participated in this weight maintenance program" with the following possible responses: 1- strongly disagree , 2- disagree, 3 - neither agree nor disagree, 4- agree, and and 5 -strongly agree. Score ranges from 1- 5 with higher score indicating greater satisfaction
Time frame: 12 week endpoint
Change in Physical Performance as Measured by the Short Physical Performance Battery
Scores range from 0 to 12 with higher score indicating better performance.
Time frame: 0 weeks, 12 weeks
Change in Physical Function as Measured Using the 6 Minute Walk Test
Change in distance walked in six minutes from baseline
Time frame: 0 weeks, 12 weeks
Change in Body Weight as Measured by the Aria Fitbit Scale
Body weight in pounds.
Time frame: 0 weeks, 12 weeks
Change in Average Weekly Steps Measured Using Garmin Watch
Average step counts using Garmin watch.
Time frame: 0 weeks, 12 weeks
Change in Total Calories Using 3-day Food Record (Participants Record Everything They Eat and Drink for Three Days)
Average total calories consumed.
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Time frame: 0 weeks,12 weeks
Change in Stress Using the Perceived Stress Scale
Perceived Stress Scale is a 10-item stress assessment instrument. Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.
Time frame: 0 weeks, 12 weeks
Change in Self-reported Depression Using the Center for Epidemiologic Studies Depression Scale (CES-D)
Score ranges from 0-60 with higher scores indicating greater depression symptoms.
Time frame: 0 weeks, 12 weeks
Change in Mood Using the Profile of Mood States Questionnaire
Change in mood from baseline, 6 and 12 weeks. Profile of Mood States is a psychological rating scale used to assess transient, distinct mood states that uses a five-point scale ranging from "not at all" to "extremely".
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - SF-36 Physical Functioning Scale
Physical functioning scale of the SF-36 is a 10-items scale with a scores ranging from 0-100% where the higher score indicates greater physical functioning.
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - Role Limitations Due to Physical Health Scale
Role limitations due to physical health scale of the SF-36 is a 4-items scale with a scores ranging from 0-100% where the higher score indicates less limitations due to physical health
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - Role Limitations Due to Emotional Problems Scale
Role limitations due to emotional problems scale of the SF-36 is a 3-items scale with a scores ranging from 0-100% where the higher score indicates less limitations due to emotional health
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - Energy/Fatigue Scale
Energy/fatigue scale of the SF-36 is a 4-items scale with a scores ranging from 0-100% where the higher score indicates less energy/fatigue
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - Emotional Well-Being Scale
Emotional Well-Being scale of the SF-36 is a 5-items scale with a scores ranging from 0-100% where the higher score indicates greater emotional well-being
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - Social Functioning Scale
Social Functioning scale of the SF-36 is a 2-items scale with a scores ranging from 0-100% where the higher score indicates greater social functioning.
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - Pain Scale
Pain scale of the SF-36 is a 2-items scale with a scores ranging from 0-100% where the higher score indicates less pain.
Time frame: 0 weeks, 12 weeks
Quality of Life Using the SF-36 Questionnaire - General Health Scale
General Health scale of the SF-36 is a 5-items scale with a scores ranging from 0-100% where the higher score indicates greater general health
Time frame: 0 weeks, 12 weeks